MINNESOTA COMMUNITY HOSPICE INC NPI 1588849103

NPI Information

NPI: 1588849103
Provider Name: MINNESOTA COMMUNITY HOSPICE INC

Doing Business As: THE LODGE ON NATCHEZ

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
1412 SUMMIT OAKS DR
BURNSVILLE, MN
ZIP 55337
Phone: (952) 431-9120
Get Directions

MINNESOTA COMMUNITY HOSPICE INC is an assisted living facility in Burnsville, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MINNESOTA COMMUNITY HOSPICE INC NPI is 1588849103. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lodge On Natchez.

The provider's business location address is:

1412 SUMMIT OAKS DR
BURNSVILLE, MN
ZIP 55337-744
Phone: (952) 431-9120
Fax: (952) 431-9123

The provider's authorized official is Gerald J. Mcgowan .
The authorized official title is Cfo and has the following contact phone number (651) 319-1295.

The CLIA number assigned to this NPI record is 24D1084493 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 1/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	355520800	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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